Organization Active NPI

Marvin E Greenberg MD PA

  • Ophthalmology Physician
  • Tamarac, FL
National Provider Identifier
1629034616
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME36221 Issued in FL
Legal business name
MARVIN E GREENBERG MD PA
Practice address
7421 N University Drive
Suite 109
Tamarac, FL 33321-2952
Phone
(954) 726-2080
Fax
(954) 726-2105
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marvin E Greenberg, MD
Title
President
Phone
(954) 726-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME36221 FL Primary

Addresses

Primary practice location

7421 N University Drive
Suite 109
Tamarac, FL 33321-2952

Mailing address

7421 N University Drive
Suite 109
Tamarac, FL 33321-2952
Phone (954) 726-2080

Other identifiers 1

IdentifierTypeStateIssuer
79535OtherFLBLUE SHIELD OF FLORIDA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1629034616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DRIVE",
            "address_2": "SUITE 109",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212952",
            "telephone_number": "954-726-2080",
            "fax_number": "954-726-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DRIVE",
            "address_2": "SUITE 109",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212952",
            "telephone_number": "954-726-2080",
            "fax_number": "954-726-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN E GREENBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-726-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME36221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF FLORIDA",
            "identifier": "79535",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.